| Patterns of caregiving among patients hospitalized with cardiovascular disease. | |
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MedLine Citation:
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PMID: 21330929 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND OBJECTIVES: Cardiac caregivers may represent a novel low-cost strategy to improve patient adherence to medical follow-up and guidelines and, ultimately, patient outcomes. Prior work on caregiving has been conducted primarily in mental health and cancer research; few data have systematically evaluated caregivers of cardiac patients. The purpose of this study was to evaluate the patterns of caregiving and characteristics of caregivers among hospitalized patients with cardiovascular disease (CVD) to assess disparities in caregiver burden and to determine the potential for caregivers to impact clinical outcomes. SUBJECTS AND METHODS: Consecutive patients admitted to the cardiovascular service line at a university medical center during an 11-month period were included in the Family Cardiac Caregiver Investigation To Evaluate Outcomes (FIT-O) study. Patients (n=4500; 59% white, 62% male, 93% participation rate) completed a standardized interviewer-assisted questionnaire in English or Spanish regarding assistance with medical care, daily activities, and medications in the past year and plans for posthospitalization. In univariate and multiple variable analyses, caregivers were categorized as either paid/professional (eg, nurse/home aide) or nonpaid (eg, family member/friend). RESULTS AND CONCLUSIONS: Among CVD patients, 13% planned to have a paid caregiver and 51% a nonpaid caregiver at discharge. Planned paid caregiving was more prevalent among racial/ethnic minority versus white patients (odds ratio, 1.5; 95% confidence interval, 1.2-1.8); planned nonpaid caregiving prevalence did not differ by race/ethnicity. Most nonpaid caregivers were female (78%). Patients who had nonpaid caregivers in the year prior to hospitalization (28%) reported grocery shopping/meal preparation (32%), transport to/arranging doctor visits (30%), and medication adherence/medical needs (25%) as top tasks caregivers assisted with. Following hospitalization, a majority of patients expect nonpaid caregivers, primarily women, to assist with tasks that have the potential to improve CVD outcomes such as medical follow-up, medication adherence, and nutrition, suggesting that these are important targets for caregiver education. |
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Authors:
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Lori Mosca; Heidi Mochari-Greenberger; Brooke Aggarwal; Ming Liao; Niurka Suero-Tejeda; Mariceli Comellas; Lisa Rehm; Tianna M Umann; Roxana Mehran |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: The Journal of cardiovascular nursing Volume: 26 ISSN: 1550-5049 ISO Abbreviation: J Cardiovasc Nurs Publication Date: 2011 Jul-Aug |
Date Detail:
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Created Date: 2011-06-13 Completed Date: 2011-10-28 Revised Date: 2012-04-06 |
Medline Journal Info:
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Nlm Unique ID: 8703516 Medline TA: J Cardiovasc Nurs Country: United States |
Other Details:
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Languages: eng Pagination: 305-11 Citation Subset: IM; N |
Copyright Information:
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Copyright © 2011 Lippincott Williams & Wilkins. |
Affiliation:
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Columbia University Medical Center, Preventive Cardiology, New York-Presbyterian Hospital, New York, NY 10032, USA. Ljm10@columbia.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Cardiovascular Diseases / rehabilitation* Caregivers* / statistics & numerical data Cross-Sectional Studies Female Health Education* Humans Logistic Models Male New York Patient Compliance* Patient Discharge* |
| Grant Support | |
ID/Acronym/Agency:
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2R01 HL075101/HL/NHLBI NIH HHS; R01 HL075101-05A1/HL/NHLBI NIH HHS; T32 HL007343/HL/NHLBI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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